Gastroschisis made easy! Delivery room management? NICU care?!
ฝัง
- เผยแพร่เมื่อ 6 ก.ย. 2024
- Omphalocele vs. Gastroschisis: What are the differences? What about outcomes? What are the defects associated with Gastroschises? Heart? Head? Kidneys? How do we manage this abdominal wall defect in the delivery room? What is a bowel bag? What if the need respiratory support? How do we take care of them in the NICU? What surgery is needed? What is a Silo bag anyway? When can we start feeds? Learn all this and more in this video!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
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Mr. Phillip Chambers - www.flickr.com..., originally uploaded to en.wikipedia by User:Alii h
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Transl Gastroenterol Hepatol. 2021; 6: 31. Published online 2021 Jul 25. doi: 10.21037/tgh-20-185 Sutureless closure for the management of gastroschisis
Modupeola Diyaolu, Lauren S. Wood, and Matias Bruzoni
Kunz LH, Gilbert WM, Towner DR. Increased incidence of cardiac anomalies in pregnancies complicated by gastroschisis. Am J Obstet Gynecol. 2005 Sep;193(3 Pt 2):1248-52. doi: 10.1016/j.ajog.2005.05.080. PMID: 16157146.
Page, Rachael & Ferraro, Zachary & Moretti, Felipe & Fung-Kee-Fung, Karen. (2014). Gastroschisis: Antenatal Sonographic Predictors of Adverse Neonatal Outcome. Journal of pregnancy. 2014. 239406. 10.1155/2014/239406
radiologykey.c...
How HY, Harris BJ, Pietrantoni M, Evans JC, Dutton S, Khoury J, Siddiqi TA. Is vaginal delivery preferable to elective cesarean delivery in fetuses with a known ventral wall defect? Am J Obstet Gynecol. 2000 Jun;182(6):1527-34. doi: 10.1067/mob.2000.106852. PMID: 10871475.
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Riddle S, Agarwal N, Haberman B, Karpen H, Miquel-Verges F, Nayak SP, Sullivan K, Williams S, Zaniletti I, Jacobson E; Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group. Gastroschisis and low incidence of early-onset infection: a case for antimicrobial stewardship. J Perinatol. 2022 Nov;42(11):1453-1457. doi: 10.1038/s41372-022-01494-3. Epub 2022 Aug 20. PMID: 35987968.
Alshahwani, Noora & Mandhan, Parkash & El kadhi, Abderrahman & Ali, Mansour & Latif, Abdel. (2013). Congenital duodenal obstruction associated with Down's syndrome presenting with hematemesis. Journal of Surgical Case Reports. 12. 10.1093/jscr/rjt108.
Petrosyan M, Sandler AD. Closure methods in gastroschisis. Semin Pediatr Surg. 2018 Oct;27(5):304-308. doi: 10.1053/j.sempedsurg.2018.08.009. Epub 2018 Aug 28. PMID: 30413261.
General Aspects on Post Partum Care of Laparoschisis in Newborns -A Pediatric Surgeon’s View Point - Scientific Figure on ResearchGate. Available from: www.researchga...
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**TIMESTAMPS**
00:04 Main Points
01:21 Introduction to gastroschisis
07:37 Delivery Room Management
09:56 Management in NICU
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Music: www.bensound.com (royalty free with credit)
Music I Use: Bensound.com/free-music-for-videos
License code: RSWBWJTHWQJGLNLW
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
awesome video as always , you guys always makes these topics fun to learn 😊, best you tube neonatal content providers 🎉 Thank You
THANK YOU Dr. Singh!!! You are the sweetest! Hope all is well with you- do you get any gastroschisis babies in your NICU?
@@TalaTalksNICU we do get in Guyana but they kept in the national hospital where there is peds sugery, its always great to see those babies go home
My son was born like this in 1999 at rainbows and babies cleveland ohio usa and hes 24 doing fantastic married, It was very stressfull but we got though it.👶
oh yay! Love follow up stories like that! Thanks so much for sharing :)
Thank you for that 🎉🎉🎉.I happy he OK and give me hope
Thank you for all your videos. I am a respiratory therapy student and just started a rotation at CHLA ICU. It is a completely different language versus treating adults. Your Talks are a great supplement to our textbook and lectures in the program.
Such a different language!!!! So glad you’re finding them helpful! Thanks so much for being here!
Great job !, you are the leader in NICU teaching on TH-cam!
I would recommend longer videos and more details for Physician and short ones to educate the parents.
We love you, support you, and encourage you on this channel
Hello, from the NICU unit in Kentucky!
What a lovely comment!!! Thank you so much! Whereabouts are you in Kentucky? We’ve been trying to figure out the balance with difficulty- parents vs staff. Do you have any specific advice?? Thanks so much for your lovely support!!!
at UK,
Yes I recommend longer videos cover the full topic like what we do in the ground round
With your talent way of presentation, this will be as reference to study, and Keep posting the reference papers to support your videos.
Regarding the parents' education, I recommend short videos to understand the condition, and what they have to know in simple
Good luck
Thank you so much for this thoughtful suggestion- not sure how I missed it!! We will work on your advice! Thank you
Another great video! Helloooo from Atlanta, GA!❤
Hello!! Love Atlanta!!!! Thanks for watching!!
Literally just experienced my first gastro delivery as a APRN student last week !
No way! Hope it went smoothly and everything going well. Congrats on your education :)
I was born with this in 1989 and it seems medical advances since then have really helped. It was much more rare when I was born. I was in the hospital for 4 months. As a 34 year old women I’ve had 7 surgeries due to my gastroschisis, one being cosmetic on my scar and to make me a new belly button since mine was on my side. One surgery was appendix removal, a total of 8. When I was a teenager, I lost both of my fallopian tubes one at 15 years old and one at 17 due to the amount of scar tissue. Obviously this caused me to never be able to have children.
I also have been diagnosed with IBS and can go weeks without movement or I’m on the opposite side of that. I deal with a lot of belly pain.
Oh I’m so sorry Sandra- that sounds so difficult. I’m sorry about your fallopian tubes too- whether you wanted babies or not it never feels good to have that decision take away like that. And now IBS :( I’m so sorry for everyone you’ve been going through. I hope you find some pain relief and some peace xx
I’m so sorry- hope you have some relief from the pain and surgeries soon xx
Good information waiting for you new topic videos
Thank you!! We’re slowly getting there! I wish we had more time! So many videos we want to get out!!!
Thanks for covering this Dr. Tala. All your videos are golden 😊
Thank you so much!!! Thanks for watching and for being here generally!
Excellent explanation. Thanks 🙏
Thank you so much (and thanks to Dr. Knox!)!!
Thank you Tala and the team for the amazing videos. From India
Thank you so much for watching :)
Again, a very wonderful lecture as usual. Thank U very much Dr. Tala (from Egypt)
Hello! Thank you so much for watching and commenting- again- we can’t tell you how much we appreciate it. Hope all of well in Egypt :)
I love your videos. Is there any way you could make a video about what healthy bellies should look like after gastroschisis full closure and feedings have been started.
Hello! Thanks for your comment!!! We can’t really film babies in the NICU - for their protection- but babies bellies normally look quite normal!!! Surgeons are good at faking little belly buttons and they’re doing surgeries so non-invasively now that the bellies looks great!
easy to understand, thank you very much ( from NICu in VietNam)
That makes us so happy! So glad you're watching from Vietnam! Thanks for being here and for subscribing :)
Another great video!!! Funny the monthly trivia our night practice council does is GI for November and I was writing a bunch of questions about gastroschisis last night!! I picked up a few more questions to add. Thanks for consistently delivering great content!
Wait monthly trivia game? Like where and what time?!! What a great “team building” activity- however much I can’t stand that word!!!! But fun!!!
@TalaTalksNICU Our night practice group started it a few months ago as a morale booster/ educational experience. Each month has a theme. Each person has their unit phone that we start a group chat and send out the questions, us in the practice council, monitor the responses. The first to answer correctly wins. We send out the questions between care times around the time most have completed charting. We also give a group paper quiz some months to each patient care zone so the team has to work together over the course of the night to answer ( we have a Lot of new staff so we wanted people to get to know each other). Questions include general knowledge and policy/procedure items to refresh people's memories in a fun way. Bonus rounds can be random trivia about each other, our providers, or pop culture ... we learned the hard way that Grey's Anatomy questions are too polarized and best to stay away from .... asking how Derek died..... it escalated so quickly... people were not ok, lol. It's a good deal of work to pull off, but the response was so positive we will continue as long as the team likes.
HAHAH Greys Anatomy was too much!! I love love love that you do this- I always think must be harder for night shift to feel connected - what a brilliant idea!!! Well done you- fun and educational and bonding and no extra homework time needed (not like all those team building activities that basically just take you away from your family!!). If it's ever a live trivia thing- let me know!! haha
Another great talk . Many thanks Tala
Thank you so much!!!! So glad you liked it!
Great..Thanks a lot
Thanks for being here!
Another great lecture from you!!!
Thank you! Quite stressful now that we have a large group of people who are watching these- I'm always quite nervous when they go out that they didn't hit the spot- so it's always a relief to hear from you! Thank you Kanesha!
🎉❤Thanks Dr.
Thank you for being here!!!
@@TalaTalksNICUYou're most welcome indeed and best wishes for your professional career. 🎉❤
THANK YOU SO MUCH 🌼
Thank you so much! We always love your positive comments :)
for any new parent whos unborn has beem doagnosed with this i wasa born with it i was boorn 2005 fed 11 at abt 130 pm im now 19 it has never caused me problems i work full time in the trades and party like your averege teen i highly suggest shans hospital in gainseville florida i spent 4 months in icu after birth with my intestines in a blue bag over my head in my nicu feeding my intestines back where they belong everything was out my stomach and all if u go to shans your in good hands
i was a c section baby
That’s such fantastic news. Thanks so much for sharing your story :)
Thank you Soo much for this presentation Dr tala.This condition is common in my region but the survival rate is very very poor
Would you mind reminding me where you’re based? I know we have chatted before. It’s tough because it does require a long stay/ TPN/ surgery etc. hope you’re doing ok-thanks for giving us your thoughts :)
@@TalaTalksNICU Zambian+Africa
Yes of course. It’s really tough practicing when you don’t have all the resources you need. People work miracles though- sometimes I think we’re too dependent on technology!
It's really sad,we don't do TPN but instead use Amino acids to be added to their daily fluid
wonderful
Thank you so much!!
Thank you ❤
Thank you so much for being here :)
I often wonder what the FBI would think of my Google searches!😂
Hahahahahahahah very true!
I thought it was rarer than that lol I had it when I was born and was only like 5 pounds 6 ounces and I had to get 97 stitches and my belly button is to the left and sometimes I dig out part of the stitches still lmao but it even hailed pretty hard apparently while being born at 5 am or something lol so God fought for me to live XD
Oh wow!!!! So great to hear from ex nicu patients!!!! So glad you’re doing well! 97 sutures seems like a lot now but all that matters is that you’re doing well :)
Hi doctor. In my scan i have been told to abort the baby.
Gastroschis
Bilateral foot deformity
We are so much confused. What can we do if we decide to deliver the baby.
hello-congratulations on your pregnancy. I'm sorry you're going through this. It is impossible for me to answer (and I'm not allowed to give medical advice!) but the important thing is what capabilities your region has. Discuss with your doctors and establish what can and can't be done. Wishing you luck and health XX
hello
Hola!